NPI | 1063169324 |
---|---|
Doing Business As | HIGHLAND DENTAL STUDIO |
Entity Type | Organization |
Authorized Contact | VICENTA REYES Lead Of Credentialing 972-869-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-03-07 |
Last Update Date | 2023-05-02 |