| NPI | 1487238705 |
|---|---|
| Doing Business As | WETHERSFIELD DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | TAMI SMITH Credentialing Specialist 317-366-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-05-12 |