| NPI | 1851930416 |
|---|---|
| Doing Business As | WATER VALLEY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DANIEL BANKS Owner 970-402-1744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2024-08-22 |