NPI | 1942668405 |
---|---|
Doing Business As | EADO FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | BIANCA MARIE WILLIAMS Managing Member 516-330-5131 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 29748) |
Enumeration Date | 2016-01-29 |
Last Update Date | 2016-01-29 |