| NPI | 1477295368 |
|---|---|
| Doing Business As | RAINBOW MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER CLEMENT Owner/Dmd 701-601-2196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2023-02-21 |