| NPI | 1689890063 |
|---|---|
| Other Name | ASCENSION DEPAUL SERVICES |
| Entity Type | Organization |
| Authorized Contact | LISA GOODGAME CFO 870-382-3080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-03-31 |