NPI | 1588400873 |
---|---|
Doing Business As | FLOSS BOSS PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | MARK GILSTRAP Owner 928-899-2403 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2024-07-05 |
Last Update Date | 2024-07-05 |