NPI | 1104501469 |
---|---|
Doing Business As | CONTEMPORARY IMPLANTOLOGY |
Entity Type | Organization |
Authorized Contact | HALEY WOOSTER Enrollment Specailist 712-733-8551 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-06-15 |
Last Update Date | 2023-06-15 |