| NPI | 1407499809 |
|---|---|
| Doing Business As | LAKE WORTH MINT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | FIELD HARRISON Owner 214-821-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |