| NPI | 1962097915 |
|---|---|
| Doing Business As | GREEN BENCH DENTAL |
| Entity Type | Organization |
| Authorized Contact | LAUREN CAROLINE KRAUSER Owner/ Mgr 727-381-2809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-03-02 |