| NPI | 1912553215 |
|---|---|
| Doing Business As | ADVENTURE DENTAL OF MIDWEST CITY |
| Entity Type | Organization |
| Authorized Contact | SHAUN URBANOZO Credentialing Manager 719-323-2362 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2020-03-30 |