| NPI | 1568759843 |
|---|---|
| Doing Business As | PECAN PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BANGS Owner 817-798-8912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24576) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2024-02-12 |