| NPI | 1265117725 |
|---|---|
| Doing Business As | PRESERVENDO |
| Entity Type | Organization |
| Authorized Contact | GLORIA BOHNE Director Of Rcm 984-308-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2024-12-23 |