Provider / Organization | NPI | Date Certified |
---|---|---|
CHRYSALIS COSMETIC & RESTORATIVE DENTISTRY, LLC | 1134969017 | 2024-06-09 |
The organization Chrysalis Cosmetic & Restorative Dentistry, Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1134969017. Registration indicates Chrysalis Cosmetic & Restorative Dentistry, Llc is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Dental, ) (Clinic/Center Dental, Ambulatory Health Care Facilities) (Clinic/Center, )
Code | Practice | License No State |
---|---|---|
261QD0000X PRIMARY | Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Dental Clinic/Center Dental Ambulatory Health Care Facilities Clinic/Center |