NPI | 1548866445 |
---|---|
Doing Business As | MASTERWORKS DENTISTRY |
Entity Type | Organization |
Authorized Contact | BRANDON JD MCCULLOUGH President 210-240-6243 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2020-12-07 |
Last Update Date | 2021-01-31 |