NPI | 1417413824 |
---|---|
Doing Business As | AFFORDABLE DENTURES & IMPLANTS - LOUISVILLE |
Entity Type | Organization |
Authorized Contact | HALEY WOOSTER Enrollment Specialist 712-733-8551 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2019-02-11 |
Last Update Date | 2022-03-30 |