NPI | 1285901801 |
---|---|
Doing Business As | NEIBAUER DENTAL CARE - BOWIE |
Entity Type | Organization |
Authorized Contact | JASMINE REARDON Credential COO Rdinator 217-540-8330 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 15871) |
Additional Taxonomies | 1223G0001X Dentist General Practice |
Enumeration Date | 2011-11-28 |
Last Update Date | 2015-12-10 |