NPI | 1639750375 |
---|---|
Doing Business As | GROOVY DENTAL PLLC |
Entity Type | Organization |
Authorized Contact | ALYSSA C DAWSON General Dentist 817-808-9953 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-04-15 |
Last Update Date | 2021-04-15 |