NPI | 1720490261 |
---|---|
Doing Business As | ANTIOCH DENTISTRY |
Entity Type | Organization |
Authorized Contact | TAYLOR SUTHERLAND Owner 913-671-7066 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2014-06-02 |
Last Update Date | 2022-05-11 |