NPI | 1003361791 |
---|---|
Doing Business As | CELEBRATE DENTAL & BRACES |
Entity Type | Organization |
Authorized Contact | DAVID B FERGUSON Owner 210-451-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2008028696) |
Enumeration Date | 2016-08-23 |
Last Update Date | 2017-01-09 |