NPI | 1902363393 |
---|---|
Doing Business As | GREEN TREE DENTAL |
Entity Type | Organization |
Authorized Contact | BENJAMIN ZIKE President 385-445-4989 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-02-21 |
Last Update Date | 2019-02-21 |