| NPI | 1043987209 |
|---|---|
| Doing Business As | AVALON DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MINDY PARK CFO 713-569-9755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |