| NPI | 1992176531 |
|---|---|
| Doing Business As | GREAT PLAINS DENTAL |
| Entity Type | Organization |
| Authorized Contact | DALE MAYFIELD President 770-916-5036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2021-01-05 |