| NPI | 1790471183 |
|---|---|
| Doing Business As | ANGOLA DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | GUY J MOORE Owner/President 260-665-5767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |