| NPI | 1972970671 |
|---|---|
| Doing Business As | ADVANTAGE DENTAL ORAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | SHARON EDMONDSON Manager, Licensing & Credentialing 629-999-5014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2023-01-03 |