| NPI | 1588289169 |
|---|---|
| Former Legal Business Name | BRUSH DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRADLEY DANIEL HUGHES Dentist/ Owner Of Business 260-563-4065 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |