| NPI | 1962978742 |
|---|---|
| Doing Business As | BRENTWOOD DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TY JUSTICE Director, Payer Relations 513-609-4076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2023-05-03 |