NPI | 1770626632 |
---|---|
Doing Business As | 1ST ADVANTAGE DENTAL |
Entity Type | Organization |
Authorized Contact | MICHAEL SLESNICK President 413-585-5425 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2007-02-14 |
Last Update Date | 2020-08-22 |