| NPI | 1265031793 |
|---|---|
| Doing Business As | DENTAL DOMAIN |
| Entity Type | Organization |
| Authorized Contact | AN WHITE CEO 832-930-7847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |