NPI | 1609922517 |
---|---|
Doing Business As | ROYAL CREST CENTRE FOR ADVANCED DENTISTRY |
Entity Type | Organization |
Authorized Contact | PATRICK RYAN MARCELLO Owner 864-225-3763 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3609) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2009-12-23 |