| NPI | 1144088014 |
|---|---|
| Doing Business As | WATERFORD DENTAL TEAM |
| Entity Type | Organization |
| Authorized Contact | KELLY ROLNICKI Director Of Revenue Cycle 708-372-4773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |