| NPI | 1073679080 |
|---|---|
| Doing Business As | LONGBRANCH DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | RONALD D WEAKS President Owner 903-455-4161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 9643) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |