NPI | 1073748125 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHEAL OBENG President/Owner 402-597-2777 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: WA 60065986) |
Enumeration Date | 2009-05-19 |
Last Update Date | 2009-05-19 |