| NPI | 1063974640 |
|---|---|
| Doing Business As | ADVANTAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATT HALE Authorized Representative 214-702-0729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |