| NPI | 1386215242 |
|---|---|
| Doing Business As | WINSTON ENDO |
| Entity Type | Organization |
| Authorized Contact | JASON RAYMOND MCDANIELS Manager 260-413-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2021-07-01 |