NPI | 1891493961 |
---|---|
Doing Business As | UNIVERSITY SQUARE DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | KRISTEN LEONG Owner Dentist 267-294-7915 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-02-20 |
Last Update Date | 2023-02-20 |