| NPI | 1477334548 |
|---|---|
| Doing Business As | INNOVATIVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | RAFAELA NEDELEA Director Of Operations 267-334-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |