NPI | 1679212385 |
---|---|
Doing Business As | NEW MARK MODERN DENTISTRY |
Entity Type | Organization |
Authorized Contact | ALEX R SHARIFIAN Owner 816-400-4045 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-06-01 |
Last Update Date | 2022-06-01 |