NPI | 1164050365 |
---|---|
Doing Business As | DELICATE ORAL SURGERY |
Doing Business As | DELICATE DENTAL |
Entity Type | Organization |
Authorized Contact | MONICA RENEE PONCE Owner 702-806-7439 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-04-01 |
Last Update Date | 2021-09-29 |