| NPI | 1790354447 |
|---|---|
| Doing Business As | ROUTE 66 DENTAL IMPLANTS & PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | FAITH GASKINS Director Of Credentialing 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-06-17 |