NPI | 1174797310 |
---|---|
Doing Business As | BERKSHIRE DENTAL |
Entity Type | Organization |
Authorized Contact | STEPHEN FORREST Partner 515-987-7670 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IA 7057) |
Enumeration Date | 2008-04-18 |
Last Update Date | 2008-04-18 |