NPI | 1497467773 |
---|---|
Doing Business As | SPARTAN DENTAL |
Entity Type | Organization |
Authorized Contact | JOSHUA V BRASHER Owner/President 405-250-2255 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-12-19 |
Last Update Date | 2022-12-19 |