| NPI | 1598561714 |
|---|---|
| Doing Business As | WISDOM TOOTH CENTRAL |
| Entity Type | Organization |
| Authorized Contact | RAEL BERNSTEIN President 479-970-6493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |