| NPI | 1053688895 |
|---|---|
| Doing Business As | HERITAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATT HENDRICKSON Owner 972-542-4402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 20486) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |