| NPI | 1518562792 |
|---|---|
| Doing Business As | UNIVERSITY PERIODONTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | FAITH GASKINS Credentialing Director 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-03 |