| NPI | 1306401948 |
|---|---|
| Doing Business As | ENVISION DENTAL IMPLANT CENTERS |
| Entity Type | Organization |
| Authorized Contact | JENNIFER RAYLE HOCK Director Of Contracting And Credent 704-295-4653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2023-07-06 |