| NPI | 1700576113 |
|---|---|
| Doing Business As | NEW LEAF DENTAL |
| Entity Type | Organization |
| Authorized Contact | SONYA RENEE MOESLE Principal 740-964-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-09 |