| NPI | 1710611512 |
|---|---|
| Former Legal Business Name | GOERGYDENT BHFD LLC |
| Entity Type | Organization |
| Authorized Contact | MARK GOERGY Owner 440-864-9664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-07-25 |