| NPI | 1013208776 |
|---|---|
| Doing Business As | NORTHEAST DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DWIGHT L BAILEY President 915-751-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 24393) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |