NPI | 1588054779 |
---|---|
Doing Business As | EDDLEMAN DENTAL |
Entity Type | Organization |
Authorized Contact | JENNY GARCIA-ROCHA Payer Enrollment Manager 972-869-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2015-01-27 |
Last Update Date | 2025-10-07 |