NPI | 1477137644 |
---|---|
Doing Business As | WILLOW FESTIVAL DENTAL |
Entity Type | Organization |
Authorized Contact | JOSHUA HARPER PROMPTON Dentist/Owner 832-600-1069 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-05-12 |
Last Update Date | 2021-05-12 |