NPI | 1790393890 |
---|---|
Doing Business As | DEERFIELD MODERN DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANTHONY AZADI Owner 754-333-2966 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-07-15 |
Last Update Date | 2022-06-14 |