NPI | 1992242085 |
---|---|
Doing Business As | BRUSH DENTAL |
Entity Type | Organization |
Authorized Contact | COREY D MARTINEZ Dentist/ Owner 260-563-4065 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IN 12012410A) |
Enumeration Date | 2017-01-26 |
Last Update Date | 2017-01-26 |