NPI | 1174882328 |
---|---|
Doing Business As | POLK COUNTY DENTAL CARE |
Entity Type | Organization |
Authorized Contact | RALPH KENNETH JENKE President/Owner 936-327-7477 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 10766) |
Enumeration Date | 2012-05-09 |
Last Update Date | 2012-05-09 |