NPI | 1497545313 |
---|---|
Doing Business As | FAMIDENTAL OF FALMOUTH |
Entity Type | Organization |
Authorized Contact | WALDO VADIVIA Owner 540-513-8315 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2025-05-12 |
Last Update Date | 2025-05-13 |