NPI | 1689360075 |
---|---|
Doing Business As | AEGIS DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | GUY J MOORE Owner/President 574-875-7711 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-04-18 |
Last Update Date | 2023-04-18 |