NPI | 1760951149 |
---|---|
Doing Business As | MG FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ASHLY SUNSHINE Support Specialist 636-362-4986 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2018-11-15 |
Last Update Date | 2023-01-26 |