NPI | 1720894629 |
---|---|
Doing Business As | HERITAGE DENTAL |
Entity Type | Organization |
Authorized Contact | CLARISSA M MOORE Practice Owner 540-373-1660 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-12-05 |
Last Update Date | 2024-12-05 |