| NPI | 1417364605 |
|---|---|
| Doing Business As | DENTAL DERBY |
| Entity Type | Organization |
| Authorized Contact | JOSE ALBERTO CANGAS Owner 214-830-9332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 9374) |
| Enumeration Date | 2014-07-19 |
| Last Update Date | 2014-07-19 |