NPI | 1689266249 |
---|---|
Doing Business As | PREMIER DENTAL OF WASHINGTON COURT HOUSE |
Entity Type | Organization |
Authorized Contact | MARK R. ALEXANDRUNAS Owner 740-587-4891 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-02-05 |
Last Update Date | 2021-02-05 |