| NPI | 1578008413 |
|---|---|
| Doing Business As | VILLAGE DENTAL HINCKLEY |
| Entity Type | Organization |
| Authorized Contact | BETTY J. QADRI President 330-278-2829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: OH 19874) |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2017-01-02 |