NPI | 1780187674 |
---|---|
Doing Business As | BARCO FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MARTIN THOMAS BARCO Owner/President 754-346-1481 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IN 12011246A) |
Enumeration Date | 2018-03-16 |
Last Update Date | 2018-03-16 |