| NPI | 1659788057 |
|---|---|
| Doing Business As | NELA DENTAL- MONROE |
| Entity Type | Organization |
| Authorized Contact | ROBERT VANCE COSTELLO Manager 318-737-0964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2023-03-09 |