NPI | 1972000420 |
---|---|
Doing Business As | MARKETPLACE DENTISTRY |
Entity Type | Organization |
Authorized Contact | BRETT T. LYMAN Owner 316-252-3075 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2018-04-11 |
Last Update Date | 2022-05-11 |