NPI | 1306077458 |
---|---|
Doing Business As | ENABLE DENTAL |
Entity Type | Organization |
Authorized Contact | BENJAMIN TIGGELAAR Authorized Agent 512-980-4648 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2009-08-06 |
Last Update Date | 2024-07-01 |