NPI | 1104514777 |
---|---|
Doing Business As | NEW TOWN DENTISTRY |
Entity Type | Organization |
Authorized Contact | DOUGLAS ANDREW WOLFE Owner And President 330-348-6024 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2023-05-01 |
Last Update Date | 2024-04-09 |