NPI | 1366982324 |
---|---|
Doing Business As | SWEETWATER DENTAL STUDIO |
Entity Type | Organization |
Authorized Contact | VLADA MATYTSIN Owner/Dentist 832-939-9999 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 30466) |
Enumeration Date | 2017-02-24 |
Last Update Date | 2018-10-24 |