NPI | 1497368625 |
---|---|
Doing Business As | DENTAL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | BERNARD JOSEPH BOLKA Chief Financial Officer 920-579-3188 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-08-27 |
Last Update Date | 2020-08-27 |