| NPI | 1255079513 |
|---|---|
| Other Name | AMENITY DENTAL CLINIC LLC |
| Entity Type | Organization |
| Authorized Contact | STEPHEN JOSEPH SYRJAMAKI President/ Partner 920-562-3736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-05-25 |