| NPI | 1619463114 |
|---|---|
| Other Name | PREMIER FAMILY DENTISTRY |
| Doing Business As | LAVU DENTAL |
| Entity Type | Organization |
| Authorized Contact | SUSHMA LAVU Member 817-330-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24206) |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2018-07-08 |