NPI | 1528499068 |
---|---|
Doing Business As | ELITE DENTISTRY |
Entity Type | Organization |
Authorized Contact | JENNIFER GOTCH President/Dentist 712-224-4001 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 8773) |
Enumeration Date | 2013-12-10 |
Last Update Date | 2013-12-10 |