| NPI | 1629475637 |
|---|---|
| Doing Business As | GREYSTONE DENTAL & ORRTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MARK ANGERBAUER Owner 817-451-9588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22771) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 22771) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-12-08 |