| NPI | 1114544483 |
|---|---|
| Doing Business As | ACADEMY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SCHANZE ZAIDI Compliance Officer 609-403-0710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |