| NPI | 1255849667 |
|---|---|
| Doing Business As | GEORGETOWN NORTH DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | OPAL ANDERSON Regional Operations Manager 260-485-0583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2022-07-20 |