| NPI | 1669039962 |
|---|---|
| Doing Business As | RICHARDSON CITY LINE MINT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | FIELD HARRISON CEO/Owner 214-821-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |