| NPI | 1629443809 |
|---|---|
| Doing Business As | WELLNESS DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL DHAENENS Managing Member 574-309-5860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AZ 161222) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |