| NPI | 1104215425 |
|---|---|
| Doing Business As | LEAF FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BLAKE RICHARDSON Dentist 972-342-5371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 27274) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |