| NPI | 1578623542 |
|---|---|
| Doing Business As | SEARS DENTAL |
| Entity Type | Organization |
| Authorized Contact | AMY B REICHERT Credentialing Department Lead 800-487-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |