| 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 |