| NPI | 1023356359 |
|---|---|
| Doing Business As | GREAT OAK DENTAL |
| Entity Type | Organization |
| Authorized Contact | JACKILYN DANG Director 817-703-3791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 27231) |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2013-01-21 |