| NPI | 1710561824 |
|---|---|
| Doing Business As | LOST PINES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | STACEY BARTLEY Owner 281-744-5058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-06 |