| NPI | 1336234541 |
|---|---|
| Doing Business As | NORTHPARK FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | NEVADA D ENDICOTT Business Manager 937-837-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30016938) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |