NPI | 1447990742 |
---|---|
Doing Business As | ADVANTAGE DENTAL PLUS |
Entity Type | Organization |
Authorized Contact | SHERRIE EDMONDSON S Manager, Licensing & Credentialing 629-999-5014 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2022-04-01 |
Last Update Date | 2023-08-08 |