NPI | 1740537430 |
---|---|
Doing Business As | YOUR DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | OLGA DANIYAR Owner 239-298-2519 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2012-08-13 |
Last Update Date | 2024-10-29 |