| NPI | 1508478298 |
|---|---|
| Former Legal Business Name | DFD REAL ESTATE, LLC |
| Entity Type | Organization |
| Authorized Contact | CLARISA DANTAS DE OLIVEIRA Owner 317-828-1945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2020-08-23 |