| NPI | 1245684430 |
|---|---|
| Doing Business As | LT DENTAL |
| Entity Type | Organization |
| Authorized Contact | AFSHIN AZMOODEH Manager 214-227-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |