| NPI | 1518280346 |
|---|---|
| Doing Business As | MARKETPLACE DENTAL GROUP AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MARIA DIAZ Registered Agent 936-441-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |