NPI | 1609313469 |
---|---|
Doing Business As | BLUHAWK DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | RAGAN NEWLAND Owner 913-215-9664 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2017-01-31 |
Last Update Date | 2022-08-05 |