| 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 |