| NPI | 1780708701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS SCOTT MOST Owner 772-219-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |