NPI | 1558133512 |
---|---|
Doing Business As | ADVANCED FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | LUCAS BLAND COO 515-577-6367 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-10-24 |
Last Update Date | 2023-10-24 |