NPI | 1770114159 |
---|---|
Doing Business As | ANDERSON FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | BROOKE BULLER Owner Dentist 330-289-9099 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-02-04 |
Last Update Date | 2020-02-04 |