NPI | 1063198620 |
---|---|
Doing Business As | GREEN DENTISTRY OF LEANDER |
Entity Type | Organization |
Authorized Contact | JIHOON SON Dentist 773-655-8827 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-06-27 |
Last Update Date | 2023-06-27 |