| NPI | 1063186070 |
|---|---|
| Doing Business As | SUNCREST DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SINES Owner 304-599-8250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2021-08-03 |