| NPI | 1104512599 |
|---|---|
| Doing Business As | AEGIS DENTAL GROUP WARSAW |
| Entity Type | Organization |
| Authorized Contact | GUY J MOORE Owner/President 574-549-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |