| NPI | 1629597240 |
|---|---|
| Doing Business As | HILLSDALE DENTAL-LEWISVILLE |
| Entity Type | Organization |
| Authorized Contact | JASON MOORE President 336-608-3676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2022-07-21 |