NPI | 1043443260 |
---|---|
Former Legal Business Name | MARKHAM FAMILY DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | PHILLIP L MARKHAM Owner/Dentist 712-755-5342 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 7374) |
Enumeration Date | 2009-09-04 |
Last Update Date | 2022-07-21 |