NPI | 1780168815 |
---|---|
Doing Business As | LINCOLN CENTER DENTAL |
Entity Type | Organization |
Authorized Contact | TANNER APPLEGATE CEO 505-860-9622 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2018-09-25 |
Last Update Date | 2018-09-25 |