| NPI | 1700421542 | 
|---|---|
| Doing Business As | PAGE DENTAL GROUP | 
| Entity Type | Organization | 
| Authorized Contact | PATRICIA LYNETTE PAGE Owner/Dentist 214-692-7499 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 122300000X Dentist | 
| Enumeration Date | 2019-11-15 | 
| Last Update Date | 2019-11-15 |