NPI | 1063995330 |
---|---|
Doing Business As | PLEASANT VALLEY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOSHUA THOMAS POGUE General Dentist 563-332-7734 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-09-12 |
Last Update Date | 2020-01-09 |