NPI | 1639887615 |
---|---|
Doing Business As | DOUBLECREEK DENTAL |
Entity Type | Organization |
Authorized Contact | MAHESH DHOLARIYA Owner 512-256-0105 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-11-09 |
Last Update Date | 2022-11-09 |