| NPI | 1629759873 |
|---|---|
| Other Name | SOUL FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | LUCILLA GARZA Officer 479-445-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2024-01-12 |