NPI | 1407068786 |
---|---|
Doing Business As | WOODHAVEN GENERAL AND COSMETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | JEFF CURTIS JENKINS President 817-457-4078 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21558) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2020-08-22 |