| NPI | 1437733409 |
|---|---|
| Doing Business As | PATRIOT FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DEL GRANT GREENHALGH Owner 915-260-6575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-06 |