NPI | 1093325235 |
---|---|
Doing Business As | MAIN STREET DENTAL |
Entity Type | Organization |
Authorized Contact | DARPANA PATEL Owner 913-206-7734 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-08-03 |
Last Update Date | 2020-08-03 |