NPI | 1063560555 |
---|---|
Doing Business As | IMMEDIADENT |
Entity Type | Organization |
Authorized Contact | AMY WHEELER Credentialing Coordinator 913-800-6952 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2007-01-08 |
Last Update Date | 2017-04-12 |