NPI | 1215409685 |
---|---|
Doing Business As | RENSSELAER FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | VINAY ASWATH Owner 219-866-4533 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-12-26 |
Last Update Date | 2024-11-08 |