| NPI | 1386747988 |
|---|---|
| Doing Business As | MILLCREEK PERIODONTICS & DENTAL IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | CHARLES THOMAS ADAMO President 254-754-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 1158857) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2013-07-08 |