| NPI | 1972773588 |
|---|---|
| Doing Business As | ADVANCED DENTAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | PETER YOUNG Vice President Of Operations 414-357-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0300X Dentist, Periodontics | |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2010-03-31 |