NPI | 1295272045 |
---|---|
Doing Business As | WOW DENTAL |
Entity Type | Organization |
Authorized Contact | SAOSAT MARIA STAFFORD Owner 972-709-8482 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23931) |
Enumeration Date | 2017-01-31 |
Last Update Date | 2022-03-26 |