| NPI | 1164920377 |
|---|---|
| Doing Business As | PHASE 3 DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRIAN GOERINGER Dentist/ Owner 570-690-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CO DEN.00202673) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |