NPI | 1780243683 |
---|---|
Doing Business As | NORTHWEST DENTAL EXCELLENCE, PLLC |
Entity Type | Organization |
Authorized Contact | BRIANNE ELIZABETH MEZO Owner Dentist 517-513-8070 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2019-06-13 |
Last Update Date | 2019-06-13 |