| NPI | 1104263508 |
|---|---|
| Doing Business As | ENCHANTED FOREST PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LUZ M ROJAS President 936-231-8705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 21458) |
| Enumeration Date | 2013-05-27 |
| Last Update Date | 2013-05-27 |