| NPI | 1700681947 |
|---|---|
| Doing Business As | COLLEYVILLE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BIANCA STARKS Owner/Dentist 561-315-6502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-13 |