NPI | 1043823727 |
---|---|
Doing Business As | GRAND OAKS DENTISTRY |
Entity Type | Organization |
Authorized Contact | DIMPLE SHARMA Owner 512-291-1666 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-08-24 |
Last Update Date | 2024-06-13 |