NPI | 1437684354 |
---|---|
Doing Business As | TIMBER CREEK DENTAL |
Entity Type | Organization |
Authorized Contact | TIMOTHY CASEY Dentist/Owner 817-562-3292 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19907) |
Enumeration Date | 2017-04-28 |
Last Update Date | 2017-04-28 |