| NPI | 1396512455 |
|---|---|
| Doing Business As | DENTURGENT |
| Entity Type | Organization |
| Authorized Contact | LEESHIK SHIN Owner 469-249-9017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2023-12-08 |