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 |