NPI | 1659054641 |
---|---|
Doing Business As | MCDONOUGH ENDODONIC CENTER |
Entity Type | Organization |
Authorized Contact | ASHLY SUNSHINE Credentialing Specialist 314-413-2803 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics |
Enumeration Date | 2023-08-08 |
Last Update Date | 2023-08-08 |