NPI | 1508656315 |
---|---|
Entity Type | Organization |
Authorized Contact | NED SCHOENFELD CFO 872-270-0960 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
1223G0001X Dentist, General Practice | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
124Q00000X Dental Hygienist | |
Enumeration Date | 2025-05-07 |
Last Update Date | 2025-07-31 |