NPI | 1699657288 |
---|---|
Doing Business As | CROWNLINE DENTAL |
Entity Type | Organization |
Authorized Contact | NICHOLAS ANGELO FAINO Dentist 267-250-2703 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2025-07-23 |
Last Update Date | 2025-07-23 |