| NPI | 1629719836 |
|---|---|
| Doing Business As | ENABLE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN TIGGELAAR Authorized Agent 866-988-4504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2024-07-01 |