| NPI | 1518027002 |
|---|---|
| Doing Business As | PRODENTAL |
| Entity Type | Organization |
| Authorized Contact | WILLIAM CASTLES VP Operations 660-665-5653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-05-19 |