NPI | 1073052411 |
---|---|
Doing Business As | WALDEN DENTAL CEDAR PARK |
Entity Type | Organization |
Authorized Contact | DAVID W FRANK Owner 518-526-2968 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 24472) |
Enumeration Date | 2017-02-17 |
Last Update Date | 2017-06-12 |