NPI | 1609846005 |
---|---|
Doing Business As | DENTALWORKS |
Entity Type | Organization |
Authorized Contact | LORI BATES Credentialing Specialist 972-755-0883 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
1223E0200X Dentist, Endodontics | |
1223P0221X Dentist, Pediatric Dentistry | |
1223P0300X Dentist, Periodontics | |
1223P0700X Dentist, Prosthodontics | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
1223G0001X Dentist, General Practice (Licence: IL 019.024468) | |
Enumeration Date | 2006-01-26 |
Last Update Date | 2017-03-06 |