NPI | 1710575485 |
---|---|
Doing Business As | BELLA FAMILY DENTISTRY PLLC |
Entity Type | Organization |
Authorized Contact | JAMAL F KHATIB Officer 682-326-0186 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-01-07 |
Last Update Date | 2021-01-07 |