NPI | 1306616867 |
---|---|
Doing Business As | WOODLAND LAKES DENTAL STUDIO |
Entity Type | Organization |
Authorized Contact | CHRISTINE NELSON VP, Revenue Cycle 469-450-6482 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2024-01-05 |
Last Update Date | 2024-01-05 |