| NPI | 1073050993 |
|---|---|
| Doing Business As | NURSING HOME DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MELODIE R DIAMOND Managing Member 214-218-7403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 28498) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |