| NPI | 1447812813 |
|---|---|
| Doing Business As | ADVANTAGE DENTAL ORAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | SHARON EDMONDSON Manger, Licensing & Credentialing 629-999-5014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2021-10-25 |