| NPI | 1710488838 |
|---|---|
| Doing Business As | HOLLYWOOD DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | RALPH W. ROSE Sole Member 936-632-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |