NPI | 1093303117 |
---|---|
Doing Business As | TU SONRISA DENTAL |
Entity Type | Organization |
Authorized Contact | MARY LOU A POSADA Credentialing Specialist 720-276-3046 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-01-05 |
Last Update Date | 2021-01-05 |