| NPI | 1578872123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT P. SCHLANG Dental Director 888-833-8441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN DS0000008968) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |