NPI | 1588275044 |
---|---|
Doing Business As | FRESH DENTAL CONCORD |
Entity Type | Organization |
Authorized Contact | RICHARD B VELAZQUE Director Of Implementation 704-218-2132 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-08-10 |
Last Update Date | 2020-08-10 |