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 |