NPI | 1619584430 |
---|---|
Doing Business As | MONUMENT FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANTHONY ROBERT CASTELLANO President 802-355-7657 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-09-25 |
Last Update Date | 2020-09-25 |