NPI | 1548645377 |
---|---|
Doing Business As | GRAPEVINE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | BECKY COATS Owner / Dentist 817-481-6888 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 20165) |
Enumeration Date | 2015-07-22 |
Last Update Date | 2015-07-22 |