NPI | 1346068806 |
---|---|
Doing Business As | MIDCITY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ERIKA MELISSA MENJIVAR Sr. Credentialing Specialist 469-596-6137 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2024-10-02 |
Last Update Date | 2024-10-02 |