NPI | 1164197075 |
---|---|
Doing Business As | CONCORD FAMILY DENTAL CENTRAL |
Entity Type | Organization |
Authorized Contact | ADAM JOSEPH QUARTANO Owner/Dentist 985-869-6403 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-08-12 |
Last Update Date | 2021-08-12 |