NPI | 1013614940 |
---|---|
Doing Business As | ONE FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | SUDHAKAR SANTHANA KRISHNAN CEO 260-750-0418 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-02-10 |
Last Update Date | 2023-02-10 |