NPI | 1194351510 |
---|---|
Doing Business As | BIENVILLE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | DANH CONG NGUYEN Manager 228-215-3003 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-03-17 |
Last Update Date | 2020-08-17 |