NPI | 1427754712 |
---|---|
Doing Business As | ADVANTAGE DENTAL PLUS |
Entity Type | Organization |
Authorized Contact | SHERRIE EDMONDSON Sr Manager, L&C 629-999-5014 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2023-02-07 |
Last Update Date | 2023-02-07 |