NPI | 1295380418 |
---|---|
Doing Business As | PROFESSIONAL DENTURE CLINIC |
Entity Type | Organization |
Authorized Contact | ERINN PUMPHREY DUDLEY Bookkeper 318-422-0397 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-08-05 |
Last Update Date | 2019-08-05 |