NPI | 1487151239 |
---|---|
Doing Business As | PALM VALLEY DENTAL |
Entity Type | Organization |
Authorized Contact | PAOLA RAMOS Credentialing Coordinator 972-869-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29954) |
Enumeration Date | 2018-04-09 |
Last Update Date | 2024-09-30 |