| NPI | 1972113447 |
|---|---|
| Doing Business As | GREENSBORO IVORY DENTAL |
| Entity Type | Organization |
| Authorized Contact | PRATIKKUMAR V PATEL General Dentist 270-993-4982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2020-08-10 |