NPI | 1659901502 |
---|---|
Doing Business As | DENTAL CARE OF SAN ANTONIO |
Entity Type | Organization |
Authorized Contact | MATT HALE Authorized Representative 214-702-0729 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-01-20 |
Last Update Date | 2020-01-20 |