NPI | 1710744305 |
---|---|
Doing Business As | CENTRAL FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | ALEXEY LATSILNIK Owner 603-457-2024 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-02-29 |
Last Update Date | 2024-02-29 |