| NPI | 1366158826 |
|---|---|
| Doing Business As | MIDWAY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | HAZZAA YAHYA Partner/ Dentist 619-442-0871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2024-02-13 |