NPI | 1952638488 |
---|---|
Doing Business As | REGIS COURT DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | ELIZABETH P HENSON Dentist 715-834-2032 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 5000361) |
Enumeration Date | 2009-11-04 |
Last Update Date | 2012-12-04 |