| NPI | 1780830489 |
|---|---|
| Doing Business As | DENTALWORKS |
| Entity Type | Organization |
| Authorized Contact | RANDALL MCCLARY Dentist/Owner 800-487-4867 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| 122300000X Dentist | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223E0200X Dentist, Endodontics | |
| 1223P0300X Dentist, Periodontics | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2014-06-30 |