| NPI | 1225341365 |
|---|---|
| Doing Business As | WALNUT GROVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOSHUA E FOREMAN Dentist 972-298-4191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23918) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |