| NPI | 1063198620 |
|---|---|
| Doing Business As | GREEN DENTISTRY OF LEANDER |
| Entity Type | Organization |
| Authorized Contact | JIHOON SON Dentist 773-655-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-06-27 |