| NPI | 1356924815 |
|---|---|
| Doing Business As | AESTHETIC DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | BRANT SANDIFER Owner 229-402-9532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-05-03 |