| NPI | 1225799240 |
|---|---|
| Doing Business As | DENTIQUE |
| Entity Type | Organization |
| Authorized Contact | SARA TAJZIEHCHI Officer 747-900-6024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-01-02 |
| Last Update Date | 2022-11-04 |