NPI | 1235726670 |
---|---|
Doing Business As | GRACE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | MEREDITH G DAVIS Owner/Manager 972-231-4876 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2020-12-30 |
Last Update Date | 2020-12-30 |