NPI | 1356451405 |
---|---|
Doing Business As | BRIARWOOD DENTAL CENTER PLLC |
Entity Type | Organization |
Authorized Contact | WILLIAM W BONIFANT Officer 304-263-3367 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2006-08-30 |
Last Update Date | 2020-08-22 |