NPI | 1639646607 |
---|---|
Doing Business As | BURLESON MINT DENTISTRY |
Entity Type | Organization |
Authorized Contact | FIELD HARRISON Owner 214-821-6468 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-10-29 |
Last Update Date | 2018-10-29 |