NPI | 1346817921 |
---|---|
Doing Business As | AMD FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANGELA DAVIS Owner 870-732-2107 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-06-10 |
Last Update Date | 2021-06-10 |