NPI | 1245698026 |
---|---|
Doing Business As | MODERN DENTISTRY OF NORTHFIELD |
Entity Type | Organization |
Authorized Contact | BRIAN SMITH Owner 720-634-3434 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2016-02-08 |
Last Update Date | 2022-08-05 |