NPI | 1114488491 |
---|---|
Doing Business As | SPRING VALLEY DENTAL CARE |
Entity Type | Organization |
Authorized Contact | JOHN JAY MADY Owner 201-819-7598 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2019-03-28 |
Last Update Date | 2022-09-14 |