| NPI | 1720590748 |
|---|---|
| Doing Business As | DDS DENTURES AND DENTAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | HALEY WOOSTER Enrollment Specialist 712-733-8551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2021-09-20 |