| 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 |