| NPI | 1043665524 |
|---|---|
| Doing Business As | LAS COLINAS DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | AMANDA LIGHTFOOT Authorized Representative 214-702-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2023-06-13 |