| NPI | 1407401037 |
|---|---|
| Doing Business As | NORTHERN DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROSIE ADAME Delegated Official 669-268-8731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223G0001X Dentist, General Practice | |
| 1223P0300X Dentist, Periodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2021-03-03 |