NPI | 1740038926 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLOS DA SILVA Dentist 754-203-8808 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-05-11 |
Last Update Date | 2024-06-09 |