NPI | 1134510571 |
---|---|
Doing Business As | EDGE DENTAL |
Entity Type | Organization |
Authorized Contact | JUSTIN T LAI Owner/Dentist 281-940-5524 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29013) |
Enumeration Date | 2015-02-06 |
Last Update Date | 2015-02-06 |