| NPI | 1063989622 |
|---|---|
| Doing Business As | DENTAL HOUSE |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS LEE Operations Manager 505-615-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2019-06-11 |