| NPI | 1124493069 |
|---|---|
| Doing Business As | SIMON DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DANIEL J SIMON Doctor/Owner 270-782-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2015-12-03 |