| NPI | 1063779726 |
|---|---|
| Doing Business As | RODEM TREE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ELLEN M NAM Dentist 972-475-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 22514) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |