| NPI | 1801280383 |
|---|---|
| Doing Business As | MOUTHROVER |
| Entity Type | Organization |
| Authorized Contact | JESSICA LYNN MANSKE CEO 424-354-9336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 59357) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2024-08-02 |