NPI | 1861246902 |
---|---|
Doing Business As | COMFORT DENTAL NORTH BOULDER |
Entity Type | Organization |
Authorized Contact | DOMINIC EVAN PHILPOTT Owner/Partner 217-369-8678 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-04-15 |
Last Update Date | 2024-04-15 |