NPI | 1205719663 |
---|---|
Doing Business As | HIGH STREET DENTAL |
Entity Type | Organization |
Authorized Contact | TOMMY CAO Dentist/Owner 484-343-6075 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2025-07-30 |
Last Update Date | 2025-07-30 |