| NPI | 1104516608 |
|---|---|
| Doing Business As | COMFORT DENTAL NORTH INDEPENDENCE |
| Entity Type | Organization |
| Authorized Contact | ANTJUAN HAMPTON Dentist 662-801-0563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-09 |