NPI | 1124641576 |
---|---|
Doing Business As | NEUVO WELLNESS |
Entity Type | Organization |
Authorized Contact | CORBIN COWAN CEO 405-229-4052 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 122300000X Dentist |
1223D0004X Dentist, Dentist Anesthesiologist Speciality | |
Enumeration Date | 2020-05-20 |
Last Update Date | 2020-05-20 |