NPI | 1083670145 |
---|---|
Doing Business As | FAMILY DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | KEVIN L WARD Owner 870-239-4017 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2006-04-25 |
Last Update Date | 2020-08-22 |