NPI | 1356072078 |
---|---|
Doing Business As | KLONDIKE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | SYDNEY MAE VANARSDEL Owner/Dentist 812-345-7612 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-06-22 |
Last Update Date | 2022-06-22 |