NPI | 1053729517 |
---|---|
Doing Business As | DBA SUMMIT DENTAL HEALTH - WEST CENTER, LLC |
Entity Type | Organization |
Authorized Contact | STEVE JAMES CFO 502-254-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-07-29 |
Last Update Date | 2017-02-15 |