| NPI | 1811653884 |
|---|---|
| Doing Business As | ADVANCED DENTAL |
| Entity Type | Organization |
| Authorized Contact | ALI AYOUB Dentist 551-999-2994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2021-11-12 |