NPI | 1457957813 |
---|---|
Doing Business As | FISER FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | BROOKS K FISER Owner/Operator 479-459-3310 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-12-09 |
Last Update Date | 2020-12-09 |