NPI | 1770714800 |
---|---|
Doing Business As | HICKORY CREEK DENTAL GROUP AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | JOAN THANH TO Owner Doctor 940-387-4597 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2009-08-06 |
Last Update Date | 2024-08-22 |