| NPI | 1588188031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S AYES Owner 267-266-8739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PA DS0190980L) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |