| NPI | 1508511023 |
|---|---|
| Doing Business As | DENTURE CARE SHOP |
| Entity Type | Organization |
| Authorized Contact | SELENA MARTIN COO 917-328-6654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-02-14 |