| NPI | 1124763271 |
|---|---|
| Doing Business As | DOCS DENTAL TRAVIS AFB |
| Entity Type | Organization |
| Authorized Contact | AMANDA EVANS LANCE Credentialing Specialist 910-728-9767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2022-09-01 |