NPI | 1942669924 |
---|---|
Other Name | SAH DENTISTRY |
Entity Type | Organization |
Authorized Contact | RYAN E ASKELAND VP/Partner 772-340-0805 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL 14820) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2016-02-18 |
Last Update Date | 2022-03-02 |