NPI | 1477339638 |
---|---|
Doing Business As | BROWN ROAD DENTAL |
Entity Type | Organization |
Authorized Contact | JENNY GARCIA-ROCHA Sr Lead Of Credentialing 972-869-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-09-05 |
Last Update Date | 2023-09-05 |