NPI | 1033685292 |
---|---|
Doing Business As | GENTLE DENTAL SPA |
Entity Type | Organization |
Authorized Contact | THOMAS M PHAM Owner 361-883-3993 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-10-15 |
Last Update Date | 2018-10-15 |