| NPI | 1336689199 |
|---|---|
| Doing Business As | CROSSROADS FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW JOE CHOW Sole Proprietor 662-386-7886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MS 3562-10) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |