NPI | 1356913198 |
---|---|
Doing Business As | TODAY DENTAL OF LAKE WORTH |
Entity Type | Organization |
Authorized Contact | KACEY MAHONEY Doctor 817-318-6329 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-07-12 |
Last Update Date | 2022-08-30 |