| NPI | 1487387353 |
|---|---|
| Former Legal Business Name | IMPLANT DENTAL WORKS P.L.L.C. |
| Entity Type | Organization |
| Authorized Contact | MARC CHRISTIAN KAY Director 267-469-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-07-07 |