| NPI | 1184635187 |
|---|---|
| Other Name | PLEASANT GROVE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MILBURN SIDNEY HAYNES Owner/Dentist 903-838-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 19602) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |