| NPI | 1326564295 |
|---|---|
| Former Legal Business Name | COUNTRYMAN DENTISTRY, LLC |
| Entity Type | Organization |
| Authorized Contact | DALE BRYAN COUNTRYMAN Owner 972-231-2576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2025-09-04 |