NPI | 1821563149 |
---|---|
Doing Business As | MADISON GREEN FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | SEAN TOMALTY President 561-789-6611 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-10-12 |
Last Update Date | 2018-10-12 |