| NPI | 1730552100 |
|---|---|
| Doing Business As | GRAPEVINE MINT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | FIELD HARRISON CEO 214-821-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2015-11-07 |
| Last Update Date | 2019-01-29 |