| NPI | 1073101507 |
|---|---|
| Former Legal Business Name | CENTER FOR DENTAL EXCELLENCE |
| Entity Type | Organization |
| Authorized Contact | JUAN MUNOZ Owner/ Doctor 920-662-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-01-10 |
| Last Update Date | 2021-07-15 |