| NPI | 1922789387 |
|---|---|
| Doing Business As | YELLOW SPRINGS DENTAL |
| Entity Type | Organization |
| Authorized Contact | TREVOR MAPLES Dentist, Owner 240-252-8638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2024-04-01 |