| NPI | 1851170500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMENTHA PROSPER-CHICAS Dentist/ Owner 980-434-6172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-09-22 |