NPI | 1144332701 |
---|---|
Doing Business As | TOWNCARE DENTAL OF FOREST HILL |
Entity Type | Organization |
Authorized Contact | STEPHANIE GOMEZ Provider Relations 305-274-2499 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Additional Taxonomies | 1223E0200X Dentist Endodontics |
1223P0300X Dentist Periodontics | |
1223S0112X Dentist Oral and Maxillofacial Surgery | |
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2014-08-21 |