NPI | 1447682547 |
---|---|
Doing Business As | CANTRELL FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JONATHAN CANTRELL Member 972-442-9139 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 28065) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: TX 23948) |
Enumeration Date | 2013-07-31 |
Last Update Date | 2013-07-31 |