NPI | 1669064341 |
---|---|
Doing Business As | MILLPOND FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | STEPHEN HARWARD Owner 984-465-1544 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-02-04 |
Last Update Date | 2023-09-06 |