NPI | 1124568043 |
---|---|
Doing Business As | EDGE DENTAL & ORTHODONTICS |
Doing Business As | WEST HENDERSON DENTAL & ORTHODONTICS |
Doing Business As | BUFFALO 215 DENTAL & ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | TIFFANY LORICK Credentialing Specialist 704-806-3632 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV S681) |
Enumeration Date | 2017-02-24 |
Last Update Date | 2023-02-20 |