NPI | 1023432531 |
---|---|
Doing Business As | BEVERLY DEACON DDS @ WALNUT GROVE DENTAL |
Entity Type | Organization |
Authorized Contact | LINDA ALLMON Practice Admin. 972-298-4191 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2014-02-05 |
Last Update Date | 2014-02-05 |