| NPI | 1215301700 |
|---|---|
| Doing Business As | FLINT RIVER DENTAL |
| Entity Type | Organization |
| Authorized Contact | PAOLA LOPEZ Payor Enrollment Specialist Team Le 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2025-12-03 |