NPI | 1013980705 |
---|---|
Doing Business As | DENTALWORKS OF FOREST PARK |
Entity Type | Organization |
Authorized Contact | RACHEL NITTINGER Manager Credentialing 972-755-0816 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.022557) |
1223P0221X Dentist, Pediatric Dentistry | |
1223P0300X Dentist, Periodontics | |
1223P0700X Dentist, Prosthodontics | |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
1223E0200X Dentist, Endodontics | |
1223G0001X Dentist, General Practice | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
Enumeration Date | 2006-02-11 |
Last Update Date | 2018-02-08 |