NPI | 1184096687 |
---|---|
Doing Business As | PALOMA CREEK DENTAL |
Entity Type | Organization |
Authorized Contact | ROY SMITH Pc Shareholder 972-347-1090 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX TX12072) |
Enumeration Date | 2015-10-22 |
Last Update Date | 2015-10-22 |