| NPI | 1801482534 |
|---|---|
| Other Name | GORIS DENTAL |
| Entity Type | Organization |
| Authorized Contact | ESO PARKER General Dentist 574-753-4542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2020-12-16 |