| NPI | 1548707177 |
|---|---|
| Former Legal Business Name | RITA M BURNETT DDS MOBILE LLC |
| Doing Business As | ENABLE DENTAL |
| Former Legal Business Name | SCUYLER KURLBAUM DDS MOBILE LLC |
| Doing Business As | KC MOBILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | AMY LYNN CHRISTY-DUNCAN Director Of Revenue 737-787-2049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2023-12-04 |