NPI | 1487312039 |
---|---|
Doing Business As | ADVANCED DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | JOHN LYDIATT Owner 303-426-4860 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-12-01 |
Last Update Date | 2021-12-01 |