NPI | 1326726845 |
---|---|
Doing Business As | DRIFTWOOD DENTAL |
Entity Type | Organization |
Authorized Contact | STEVEN MICHAEL HASSENPLUG Dentist 620-252-9228 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2023-07-05 |
Last Update Date | 2023-07-11 |