NPI | 1639765019 |
---|---|
Doing Business As | MARKET RIDGE DENTAL |
Entity Type | Organization |
Authorized Contact | MEGAN BLAIR MORRISON Member 210-660-7242 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-12-18 |
Last Update Date | 2022-11-21 |