| NPI | 1053196469 |
|---|---|
| Doing Business As | AFFORDABLE DENTURES & IMPLANTS - WACO |
| Entity Type | Organization |
| Authorized Contact | HALEY WOOSTER Enrollment/Credentialing Manager 984-251-8846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2024-10-18 |