| NPI | 1447950100 |
|---|---|
| Doing Business As | DENTAL HAUSE |
| Entity Type | Organization |
| Authorized Contact | ANDY MANCINI Pediatric Dentist 872-710-3666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-03-09 |