NPI | 1508103821 |
---|---|
Doing Business As | DODGE CITY DENTAL CARE |
Entity Type | Organization |
Authorized Contact | TIMOTHY W SMITH Owner 256-287-1250 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AL D5917-C1) |
Enumeration Date | 2013-01-07 |
Last Update Date | 2013-01-07 |