| NPI | 1912519067 |
|---|---|
| Doing Business As | SUNDANCE DENTAL CARE OF BLOOMFIELD |
| Entity Type | Organization |
| Authorized Contact | PETER GRUMBOS Owner 505-632-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |