NPI | 1669807780 |
---|---|
Doing Business As | DBA: AESTHETIC PLUS |
Entity Type | Organization |
Authorized Contact | JARED BRUGGEMAN Dentist/Owner 817-912-2982 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2013-09-09 |
Last Update Date | 2013-09-09 |