NPI | 1467068569 |
---|---|
Doing Business As | CROSSTOWN DENTAL GROUP LLC |
Entity Type | Organization |
Authorized Contact | DANIEL BIRD Owner/Dentist 901-881-1234 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-09-23 |
Last Update Date | 2020-09-23 |