NPI | 1396142758 |
---|---|
Doing Business As | PRESTON HAVEN DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | LAYLA LOHMANN President 405-414-1083 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 27264) |
Enumeration Date | 2014-12-01 |
Last Update Date | 2014-12-08 |