NPI | 1467201418 |
---|---|
Doing Business As | OPALESCENCE DENTAL |
Entity Type | Organization |
Authorized Contact | JACKSON WHITCOMB Owner 269-375-2856 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-05-14 |
Last Update Date | 2024-05-14 |