NPI | 1710505169 |
---|---|
Doing Business As | DENTISTS OF DEVINE |
Entity Type | Organization |
Authorized Contact | ALEX R SHARIFIAN Owner 803-432-2817 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-07-13 |
Last Update Date | 2020-07-13 |