| NPI | 1033591359 |
|---|---|
| Former Legal Business Name | ALEDO DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | SHANNON PRATER Office Manager 817-441-7654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2019-02-20 |