NPI | 1407374549 |
---|---|
Doing Business As | IMMEDIADENT |
Entity Type | Organization |
Authorized Contact | MONICA L LONG Manager Of Credentialing 913-428-1686 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2017-09-08 |
Last Update Date | 2017-09-08 |