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 |