NPI | 1609652635 |
---|---|
Entity Type | Organization |
Authorized Contact | AJAYPAL MANN Dentist 262-836-4225 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-09-05 |
Last Update Date | 2024-06-21 |