NPI | 1922856624 |
---|---|
Doing Business As | GARDENIA DENTISTRY |
Entity Type | Organization |
Authorized Contact | RYAN REDIGER Owner/Dentist 940-305-0408 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2024-05-08 |
Last Update Date | 2024-05-08 |