NPI | 1255524252 |
---|---|
Former Legal Business Name | DEFELICE HOLISTIC FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ARMAND V DEFELICE Dentist/Owner 509-327-7719 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-08-22 |
Last Update Date | 2007-08-22 |