NPI | 1326719873 |
---|---|
Doing Business As | ACACIA DENTAL GROUP, PC |
Entity Type | Organization |
Authorized Contact | SOGAND FARTASH NAINI President 303-781-0624 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2021-09-24 |
Last Update Date | 2021-09-24 |