NPI | 1710633938 |
---|---|
Doing Business As | ASHBY DENTAL IN ELMWOOD |
Entity Type | Organization |
Authorized Contact | TRINA BERTELSON COO 775-722-1724 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-02-25 |
Last Update Date | 2022-08-03 |