NPI | 1285151258 |
---|---|
Doing Business As | SIMPLY DENTAL |
Entity Type | Organization |
Authorized Contact | GREG RODRIGUEZ Administrator 719-266-9393 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2017-08-29 |
Last Update Date | 2017-08-29 |