| NPI | 1235898214 |
|---|---|
| Doing Business As | MAPLE PARK DENTAL CENTRE |
| Entity Type | Organization |
| Authorized Contact | RANJIT GHANTA Owner Dentist 432-934-1548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2021-12-16 |