NPI | 1104091651 |
---|---|
Doing Business As | IMMEDIADENT |
Entity Type | Organization |
Authorized Contact | AMY WHEELER Credentialing Coordinator 913-800-6952 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30-018565) |
Enumeration Date | 2008-04-25 |
Last Update Date | 2017-04-12 |