NPI | 1518079995 |
---|---|
Doing Business As | GREAT FALLS DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | ANASTASIA THEODOROU Owner 440-356-2089 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ME 3712) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-26 |