NPI | 1609406495 |
---|---|
Doing Business As | FRESH FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | RONAKKUMAR N PATEL Dentist 682-551-9786 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-01-21 |
Last Update Date | 2020-01-21 |