| NPI | 1245785070 |
|---|---|
| Former Legal Business Name | JACK BAYRAMYAN DENTAL GROUP INC |
| Doing Business As | TEEN DENTAL PLACE |
| Entity Type | Organization |
| Authorized Contact | REBECCA MISNER Owner 719-323-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2023-06-19 |