| NPI | 1649802984 |
|---|---|
| Doing Business As | CARROLLTON DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | INSOO SONG Dentist 972-492-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |