NPI | 1346907086 |
---|---|
Doing Business As | MERCY DENTAL |
Entity Type | Organization |
Authorized Contact | KIMBERLY G. BRUNSON CEO 318-259-1100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-11-17 |
Last Update Date | 2021-11-17 |