NPI | 1730368275 |
---|---|
Doing Business As | ADVENTURE DENTAL AND VISION |
Entity Type | Organization |
Authorized Contact | SAMANTHA B LEBLANC Credentialing Specialist 719-323-2372 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2007-11-01 |
Last Update Date | 2018-04-11 |