| NPI | 1639255474 |
|---|---|
| Doing Business As | FOREST PARK DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JOHN EVERETT BALLARD CIO 972-755-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18458) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2009-04-20 |