| NPI | 1598296519 |
|---|---|
| Doing Business As | FAMILY DENTAL CENTER OF MORNINGSIDE |
| Entity Type | Organization |
| Authorized Contact | LACY CEDILLO Office Manager 712-276-4434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA 08689) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: IA 08784) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |