| NPI | 1336682152 |
|---|---|
| Doing Business As | DENTIST TREE OF FAIRFIELD |
| Entity Type | Organization |
| Authorized Contact | KATY PORAMAPORNPILAS Co Director 281-507-3044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 24765) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |