| NPI | 1639846165 |
|---|---|
| Doing Business As | ISLAND DENTAL |
| Entity Type | Organization |
| Authorized Contact | FAITH GASKINS Credentialing Director 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2021-08-24 |