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 |