NPI | 1336496827 |
---|---|
Doing Business As | MILESTONE DENTAL |
Entity Type | Organization |
Authorized Contact | RUSSELL FORONTANRAD Operations Manager 469-500-0270 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2012-08-14 |
Last Update Date | 2012-08-14 |