| NPI | 1770914954 |
|---|---|
| Doing Business As | DBA SOUTHLAKE FAMILY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ANGELICA N. FRANK Owner 817-421-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |