| NPI | 1023831310 |
|---|---|
| Doing Business As | EADO FAMILY DENTAL - NORTHSIDE |
| Entity Type | Organization |
| Authorized Contact | JOHN WILSON MA Owner 917-331-3281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-05 |