| NPI | 1891451191 |
|---|---|
| Former Legal Business Name | AFFINITY DENTAL CARE VLD LLC |
| Entity Type | Organization |
| Authorized Contact | ROBERT H CARLSON Dentist/Owner 856-777-2198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |