NPI | 1568298057 |
---|---|
Doing Business As | FRESCA DENTAL |
Entity Type | Organization |
Authorized Contact | FAITH FROST Credentialing Director 630-877-3520 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-09-11 |
Last Update Date | 2024-09-11 |