NPI | 1326564295 |
---|---|
Doing Business As | NORTH RICHARDSON DENTISTRY ASSOCIATES |
Entity Type | Organization |
Authorized Contact | DALE BRYAN COUNTRYMAN Owner 817-308-7079 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2017-08-22 |
Last Update Date | 2022-07-21 |