NPI | 1730235466 |
---|---|
Doing Business As | ROYAL CREST CENTRE FOR ADVANCED DENTISTRY |
Entity Type | Organization |
Authorized Contact | PATRICK RYAN MARCELLO Owner 864-801-8877 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3609) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2013-10-22 |