| NPI | 1588356257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAVIS NG Doctor 604-257-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-06-07 |