| NPI | 1174235584 |
|---|---|
| Doing Business As | DILTS FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DWIGHT PATRICK PETERS CEO 022-952-0745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2022-12-16 |