| NPI | 1013422575 |
|---|---|
| Doing Business As | CLEAN DENTAL PC |
| Entity Type | Organization |
| Authorized Contact | APRIL L SAMUELS Owner Dentist 214-274-0483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |