NPI | 1124580188 |
---|---|
Doing Business As | THE DENTISTRY OF IRWIN |
Entity Type | Organization |
Authorized Contact | TANYA MILLER Managing Director 913-951-9644 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-04-01 |
Last Update Date | 2019-04-01 |