| NPI | 1427692581 |
|---|---|
| Former Legal Business Name | MV FAMILY DENTAL LLC |
| Entity Type | Organization |
| Authorized Contact | DANIELLE RAE CSASZAR Dentist/Owner 618-691-8783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |