| NPI | 1720567274 |
|---|---|
| Doing Business As | SEA LOTUS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SOPHIE DOAN Managing Member 832-930-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2020-01-02 |