NPI | 1477375442 |
---|---|
Doing Business As | APPALACHIAN DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | NICOLE CARIDE Credentialing Manager 727-784-2721 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2024-10-30 |
Last Update Date | 2024-10-30 |