NPI | 1942750278 |
---|---|
Doing Business As | CLARITY DENTISTRY HAZEL DELL CROSSING |
Entity Type | Organization |
Authorized Contact | MARK SANFORD Managing Member 317-491-5095 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2016-10-11 |
Last Update Date | 2016-10-11 |