| NPI | 1669159869 |
|---|---|
| Former Legal Business Name | PALOMITA DENTAL LLC |
| Entity Type | Organization |
| Authorized Contact | ABREFI-KETE ASARE ASARE Dentist 817-903-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-08-03 |