NPI | 1518369529 |
---|---|
Former Legal Business Name | BARKSDALE DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | NATHANIEL JON BENT President 443-756-1513 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: DE G1-0001205) |
Enumeration Date | 2014-09-22 |
Last Update Date | 2014-09-22 |