| NPI | 1730578956 |
|---|---|
| Doing Business As | BEACH STREET DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ERIC DEAN RICKS Owner 817-428-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 25649) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |