NPI | 1780205088 |
---|---|
Doing Business As | VERONA FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | KELSEY MARIE PATTON HOSTETLER Dentist/Owner 608-448-5056 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-04-28 |
Last Update Date | 2020-04-28 |