NPI | 1972264000 |
---|---|
Doing Business As | WATER'S EDGE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MICHAEL SCHAAF Director Of Operations 269-217-6442 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-12-30 |
Last Update Date | 2021-12-30 |