| NPI | 1184392300 |
|---|---|
| Doing Business As | THE DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | JACOB ROSS LONG Owner/Dentist 304-688-1713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2021-09-01 |