NPI | 1174194732 |
---|---|
Doing Business As | GOOD FAITH DENTISTRY |
Entity Type | Organization |
Authorized Contact | NICOLE GREEN Office Manager 817-900-0764 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-07-06 |
Last Update Date | 2021-09-02 |