| NPI | 1992475412 |
|---|---|
| Doing Business As | NW DENTAL |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN WHITTED Owner Dentist 990-327-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2021-09-16 |