| NPI | 1922573500 |
|---|---|
| Doing Business As | PRYOR DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | KRISTEN M JOHNSON Insurance Advisor 877-221-7750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2021-04-16 |