| NPI | 1114743523 |
|---|---|
| Doing Business As | WALNUT HILL DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | MITRA BOLOURI Sole Member 214-533-2689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |