| NPI | 1235593575 |
|---|---|
| Doing Business As | LIFETIME DENTAL OF THE WOODLANDS |
| Entity Type | Organization |
| Authorized Contact | HEATHER PRUEMER Insurance/Credentialing 217-540-8434 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |