| NPI | 1164948436 |
|---|---|
| Doing Business As | DENTAL OFFICE OF PROSPER |
| Entity Type | Organization |
| Authorized Contact | NGHI DO Owner Dentist 972-426-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2022-06-14 |