| 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 |