NPI | 1316780877 |
---|---|
Doing Business As | THE MILL CREEK DENTIST |
Entity Type | Organization |
Authorized Contact | SAMUEL CHONG Owner 205-370-9352 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-06-13 |
Last Update Date | 2024-06-13 |