NPI | 1932389467 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE PORTER Accounts Receivable COO Rdinator 662-741-2151 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental |
Enumeration Date | 2007-11-13 |
Last Update Date | 2007-11-13 |