| NPI | 1306499249 |
|---|---|
| Doing Business As | ABUNDANT DENTAL CARE OF HERRIMAN |
| Entity Type | Organization |
| Authorized Contact | ANNMARIE WILSON Executive 540-419-9422 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2021-06-29 |