NPI | 1093467128 |
---|---|
Doing Business As | PARK WEST DENTAL |
Entity Type | Organization |
Authorized Contact | BRIAN PASSELL Director 281-686-4550 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-01-20 |
Last Update Date | 2022-05-10 |