NPI | 1609184373 |
---|---|
Doing Business As | DENTACARE |
Entity Type | Organization |
Authorized Contact | TONY H. YONG President 262-619-1949 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WI 6324-015) |
Enumeration Date | 2010-09-15 |
Last Update Date | 2010-09-15 |