| NPI | 1558406587 |
|---|---|
| Other Name | GRIN CENTRAL STATION DENTAL |
| Entity Type | Organization |
| Authorized Contact | PATRICK J RYAN President 972-608-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 19407) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 20522) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |