| NPI | 1366022774 |
|---|---|
| Doing Business As | EDGEMERE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DEL GRANT GREENHALGH Owner 915-921-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-09 |