NPI | 1730567702 |
---|---|
Doing Business As | LIV DENTISTRY |
Entity Type | Organization |
Authorized Contact | CLARK WILSON STEFFENS Owner/Dentist 607-237-8376 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 23907) |
Enumeration Date | 2015-05-11 |
Last Update Date | 2015-05-11 |