NPI | 1750083853 |
---|---|
Doing Business As | AFFORDABLE DENTURES & IMPLANTS - JACKSON |
Entity Type | Organization |
Authorized Contact | HALEY WOOSTER Enrollment Specialist 712-733-8551 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-03-21 |
Last Update Date | 2023-03-21 |