NPI | 1194476929 |
---|---|
Doing Business As | JAYME MACE DMD FAMILY DENTISTRY, PA |
Entity Type | Organization |
Authorized Contact | JAYME MACE Dr. 218-736-3179 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-01-13 |
Last Update Date | 2022-01-13 |