NPI | 1104947290 |
---|---|
Doing Business As | BOATRIGHT DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | GINA MARIE NORMAN-BOATRIGHT President 765-653-3393 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010755A) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2020-08-22 |