NPI | 1962762765 |
---|---|
Doing Business As | ADVENTURE DENTAL VISION AND ORTHONDONTICS |
Entity Type | Organization |
Authorized Contact | SAMANTHA B LEBLANC Credentialing Specialist 719-323-2372 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2012-05-25 |
Last Update Date | 2020-11-23 |