| NPI | 1467032524 |
|---|---|
| Doing Business As | ORTHOIMPLANT DENTAL CLINIC FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LUZ AIDA OSPINA Owner 208-312-0190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2022-07-07 |