| NPI | 1508592338 |
|---|---|
| Doing Business As | GREEN VALLEY DENTALCARE |
| Entity Type | Organization |
| Authorized Contact | LETTI HALE Owner 170-251-0763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-07-25 |