| NPI | 1912762535 |
|---|---|
| Doing Business As | CANCHOLA DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TANIA IMPASTATO Practice Administrator 128-183-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-02-28 |