NPI | 1972124717 |
---|---|
Doing Business As | SPRING STREET DENTAL |
Entity Type | Organization |
Authorized Contact | MICHELLE ELIZABETH FAETH Office Manager 502-718-1226 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-05-04 |
Last Update Date | 2020-05-04 |