| NPI | 1134540628 |
|---|---|
| Doing Business As | EAGLE DENTAL CENTER PLLC |
| Entity Type | Organization |
| Authorized Contact | AMANDA MIOT Clinic Administrator 903-794-9974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2020-06-04 |