NPI | 1366941163 |
---|---|
Doing Business As | ZEAL DENTISTRY |
Entity Type | Organization |
Authorized Contact | LORRI DETRICK Chief Operating Officer 931-215-5879 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-02-07 |
Last Update Date | 2018-02-07 |