| NPI | 1093185902 |
|---|---|
| Doing Business As | SAND DOLLAR DENTAL |
| Entity Type | Organization |
| Authorized Contact | HOLLY REINECK Owner 251-970-2333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 6164) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 6165) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |