| 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 |