| NPI | 1235681198 |
|---|---|
| Doing Business As | IMPLANT & ADULT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TRISHA M LE Dds 972-757-2033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 7326) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |