NPI | 1932645041 |
---|---|
Doing Business As | FLEUR DE LIS MOBILE DENTAL |
Entity Type | Organization |
Authorized Contact | SALLY B DALY Owner 303-810-5619 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MS 3767-14) |
Enumeration Date | 2017-01-12 |
Last Update Date | 2017-01-12 |