NPI | 1134610660 |
---|---|
Doing Business As | LIFE LONG DENTAL CARE OF MILFORD |
Entity Type | Organization |
Authorized Contact | ANDREW MATTA Cmo/Owner 724-698-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-05-21 |
Last Update Date | 2018-05-21 |