NPI | 1306001110 |
---|---|
Doing Business As | WASHINGTON DENTAL CARE |
Entity Type | Organization |
Authorized Contact | SERGEY F FLORYANOVICH Owner 319-653-3412 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 305S00000X Point of Service (Licence: IA 8563) |
Enumeration Date | 2008-07-21 |
Last Update Date | 2019-03-01 |