NPI | 1568098309 |
---|---|
Doing Business As | DELICATE DENTAL |
Entity Type | Organization |
Authorized Contact | MONICA RENEE PONCE Owner And Provider 702-806-7439 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
261QD0000X Clinic/Center, Dental | |
Enumeration Date | 2020-03-12 |
Last Update Date | 2023-03-08 |