NPI | 1144469479 |
---|---|
Doing Business As | JUST FOR GRINS |
Entity Type | Organization |
Authorized Contact | KRISTEN ANGWIN Owner 817-741-4455 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23826) |
Enumeration Date | 2009-02-10 |
Last Update Date | 2009-02-10 |