| NPI | 1376934554 |
|---|---|
| Doing Business As | LIFECYCLE DENTAL |
| Entity Type | Organization |
| Authorized Contact | TAMMY ALLEN Owner 817-439-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19529) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |