NPI | 1306581871 |
---|---|
Doing Business As | PANTHER CREEK DENTAL |
Entity Type | Organization |
Authorized Contact | ADESUWA OKONEDO Owner/Dentist 202-468-8164 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-04-29 |
Last Update Date | 2022-04-29 |