| NPI | 1679897490 |
|---|---|
| Doing Business As | GRAPEVINE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MIKE COLANGELO President 682-667-7225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23341) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |