NPI | 1467689307 |
---|---|
Doing Business As | ST PAUL DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | DAVID YOUNG CEO 903-531-9455 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2009-06-18 |
Last Update Date | 2011-03-08 |