NPI | 1578085916 |
---|---|
Doing Business As | AMI AGBABLI DDS.PLLC DBA FAITH FAMIY DENTAL |
Entity Type | Organization |
Authorized Contact | AMI AGBABLI Owner 479-222-0255 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2017-07-07 |
Last Update Date | 2017-08-16 |