NPI | 1750077798 |
---|---|
Doing Business As | DENTAL SPECIALTY CENTER OF FALCON |
Entity Type | Organization |
Authorized Contact | ANDRE SHOOK Owner/Operator 972-869-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-04-13 |
Last Update Date | 2023-04-13 |