NPI | 1629742309 |
---|---|
Doing Business As | SVANS DENTISTRY |
Entity Type | Organization |
Authorized Contact | FAITH GASKINS Credentialing Director 972-869-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-08-05 |
Last Update Date | 2021-08-05 |