| NPI | 1669293049 |
|---|---|
| Doing Business As | ALAMEDA DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | DERRELL WASHINGTON Owner Dentist 317-809-8034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2024-10-18 |