NPI | 1750044004 |
---|---|
Doing Business As | AMBER HILLS DENTAL |
Entity Type | Organization |
Authorized Contact | TAMI SMITH Credentialing Specialist 317-366-3595 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-10-14 |
Last Update Date | 2021-10-14 |