| NPI | 1306284609 |
|---|---|
| Doing Business As | BOCA SANA DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARSHALL OLSON Owner/Dentist 817-427-2622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 23256) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-12-31 |