NPI | 1093195117 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA BERNICE PHILLIPS Dentist 934-236-4360 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 30019980) |
Enumeration Date | 2015-06-03 |
Last Update Date | 2015-06-03 |