NPI | 1033709316 |
---|---|
Doing Business As | LONE STAR FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | SHOAIB AHMED Dentist 310-254-8527 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-01-21 |
Last Update Date | 2021-01-21 |