NPI | 1093463424 |
---|---|
Doing Business As | BUCHANAN STREET FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOHN PARDO Owner Dentist 214-538-3545 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-03-15 |
Last Update Date | 2022-03-21 |