| NPI | 1437887254 |
|---|---|
| Doing Business As | PRO DENTAL DALLAS |
| Entity Type | Organization |
| Authorized Contact | JASON DEREK ROE Dentist/Owner 972-931-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-08-10 |