NPI | 1760967582 |
---|---|
Doing Business As | TRAIL CREEK DENTAL PLLC |
Entity Type | Organization |
Authorized Contact | JENNIFER ALLEN Office Manager 817-283-5376 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2018-09-27 |
Last Update Date | 2018-09-27 |