| NPI | 1962959395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BARCLAY DOWLING Managing Physician 800-397-6247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ 1692) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |