NPI | 1003605338 |
---|---|
Doing Business As | ECKLEY FAMILY AND COSMETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | RYAN PATRICK ECKLEY Owner 443-593-5479 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2025-05-02 |
Last Update Date | 2025-05-02 |