| NPI | 1376966747 |
|---|---|
| Doing Business As | COMMUNITY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | TODD CRUSE President 629-999-5006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2016-02-24 |