| NPI | 1164104410 |
|---|---|
| Doing Business As | FOUNTAIN PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | RONAK PATEL Owner Dentist 972-899-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |