| NPI | 1366072993 |
|---|---|
| Doing Business As | CIMARRON FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PATTY HAYES Office Administrator 817-268-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |