| NPI | 1356097224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK CAMARDA President 888-970-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-05-24 |