NPI | 1447804117 |
---|---|
Doing Business As | HANOVER FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JODIE MEREDITH Owner 757-589-0639 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-07-30 |
Last Update Date | 2019-07-30 |