NPI | 1861903601 |
---|---|
Doing Business As | ELM RIDGE IMPLANTS & FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JEFFREY MUSZYNSKI Owner 325-899-6009 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2017-10-19 |
Last Update Date | 2018-11-13 |