NPI | 1255072351 |
---|---|
Doing Business As | EL PORTAL DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | JERIT DAVIS Owning Dds 214-491-8398 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223E0200X Dentist, Endodontics |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
Enumeration Date | 2022-04-05 |
Last Update Date | 2022-04-05 |