| NPI | 1932457363 |
|---|---|
| Doing Business As | MILESTONE DENTAL |
| Entity Type | Organization |
| Authorized Contact | RUSSELL FOROTANRAD Operations Manager 469-500-0270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |