| NPI | 1255062170 |
|---|---|
| Doing Business As | AUDUBON DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATT HALE Authorized Representative 214-702-0720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2022-06-21 |