NPI | 1265123095 |
---|---|
Doing Business As | WESTPARK DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | AMANDA LIGHTFOOT Authorized Representative 214-702-0708 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-05-15 |
Last Update Date | 2023-05-15 |