| NPI | 1700602307 |
|---|---|
| Former Legal Business Name | MARBELLA DENTAL STUDIOS |
| Entity Type | Organization |
| Authorized Contact | PAOLA FANN Owner 420-299-2874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-11-27 |