| NPI | 1639696891 |
|---|---|
| Doing Business As | MONTGOMERY PLAZA DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN S RUBIN Owner 817-332-5192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2022-07-21 |