NPI | 1679262380 |
---|---|
Doing Business As | TWIN TEETH FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANDREW STEVEN CUDE Co Owner 270-556-4967 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-05-08 |
Last Update Date | 2023-05-08 |