| NPI | 1053778092 |
|---|---|
| Doing Business As | DENTALWORKS OF AVON |
| Entity Type | Organization |
| Authorized Contact | RACHEL NITTINGER Manager Credentialing 972-755-0816 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2018-03-20 |