| NPI | 1770298614 |
|---|---|
| Doing Business As | ULTRA WHITE DENTAL |
| Entity Type | Organization |
| Authorized Contact | SUZANNE M GEORGE Owner 267-987-2237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-16 |