NPI | 1902450224 |
---|---|
Doing Business As | DELUXE DENTISTRY |
Entity Type | Organization |
Authorized Contact | MAXIM GODKO Owner/Manager 609-718-7997 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-07-25 |
Last Update Date | 2019-07-25 |