NPI | 1366115131 |
---|---|
Doing Business As | ACTDENTAL,INC |
Doing Business As | ACT DENTAL, INC |
Entity Type | Organization |
Authorized Contact | ANNETTE THEOFILOS President Of Corporation 724-346-5173 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-07-28 |
Last Update Date | 2021-07-28 |