NPI | 1750146874 |
---|---|
Doing Business As | MORELAND NEIGHBORHOOD DENTAL |
Entity Type | Organization |
Authorized Contact | MATTHEW HICKS Dentist 971-645-8277 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-02-19 |
Last Update Date | 2024-02-19 |