NPI | 1548737208 |
---|---|
Doing Business As | VILLAGE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | BRADLEY J HENKENIUS Owner/President 928-774-0181 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-10-30 |
Last Update Date | 2018-10-30 |