| NPI | 1699331363 |
|---|---|
| Doing Business As | CHARLES L REGALADO DDS |
| Doing Business As | RICHLAND SMILES |
| Doing Business As | ANDREW T MOHLMAN DDS |
| Doing Business As | HUTCHINSON DENTAL |
| Doing Business As | GREEN LAKE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | MELODY BENNION Director Of Integrations 480-234-8490 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2022-10-18 |