| NPI | 1033759873 |
|---|---|
| Doing Business As | TIGER FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JONATHAN RAY EHLERS Dentist/Owner 660-827-2405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |