NPI | 1417763517 |
---|---|
Doing Business As | WASHINGTON PARK DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | TIM KYGER Dentist 740-645-4396 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-12-04 |
Last Update Date | 2024-12-04 |