| NPI | 1598322463 |
|---|---|
| Doing Business As | LONGVIEW FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROBERT JENNINGS Owner 940-206-8956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-05-25 |
| Last Update Date | 2019-05-25 |