NPI | 1942916804 |
---|---|
Doing Business As | ENGELHARDT AND NELSON FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | RAECHEL NELSON Member 970-484-4890 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-01-24 |
Last Update Date | 2023-01-24 |