NPI | 1053044883 |
---|---|
Doing Business As | HOMETOWN FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | DALLAS MONTAG Dentist 740-238-3456 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-07-08 |
Last Update Date | 2022-07-08 |