| NPI | 1043734593 |
|---|---|
| Doing Business As | THE DENTIST |
| Entity Type | Organization |
| Authorized Contact | RACHEL GREENHALGH Manager 915-263-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-07-21 |