| NPI | 1003383373 |
|---|---|
| Doing Business As | NORTHEAS DALLAS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | OLIVIA SANTILLAN Dds/Owner 214-302-0807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |