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 |