| 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 |