NPI | 1871349548 |
---|---|
Former Legal Business Name | MAYFAIR DENTAL PROFESSIONAL CORPORATION |
Entity Type | Organization |
Authorized Contact | ASH BATRA CEO 267-640-8277 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-04-24 |
Last Update Date | 2024-10-10 |