| NPI | 1477105690 |
|---|---|
| Doing Business As | ALLIANCE FAMILY DENTAL, LLC |
| Entity Type | Organization |
| Authorized Contact | CADE M CANNON Owner 308-762-6131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |