NPI | 1932662939 |
---|---|
Doing Business As | BOAIN DENTAL CARE |
Entity Type | Organization |
Authorized Contact | TY JUSTICE Director, Credentialing & Payer Rel 513-808-4984 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2019-04-08 |
Last Update Date | 2024-03-12 |