| NPI | 1235708124 |
|---|---|
| Doing Business As | AFFORDABLE DENTURES & IMPLANTS - CICERO |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HARDING Owner 315-214-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-11-03 |