NPI | 1487267886 |
---|---|
Doing Business As | PRUDENT FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | SARABJIT KHASSA Owner 269-753-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-08-25 |
Last Update Date | 2020-08-25 |