| 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 |