NPI | 1306086954 |
---|---|
Other Name | DREAM TEAM FAMILY DENTISTRY, PLLC |
Entity Type | Organization |
Authorized Contact | VENIS F SIFFRARD Owner 662-470-4621 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MS 3489-08) |
Enumeration Date | 2009-02-23 |
Last Update Date | 2009-02-23 |