NPI | 1558966259 |
---|---|
Doing Business As | BLUE HILL FAMILY AND COSMETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | MICHAEL DAVID GILLINS Dentist/Owner 608-881-4676 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-12-01 |
Last Update Date | 2020-12-01 |