| NPI | 1225618630 |
|---|---|
| Doing Business As | HILLSIDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | DEL GRANT GREENHALGH Owner 915-500-3643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-09 |