| NPI | 1790228674 |
|---|---|
| Other Name | FIRST IMPRESSIONS DENTAL WEST SC |
| Entity Type | Organization |
| Authorized Contact | THOMAS J TURNER President 715-842-4649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |