| NPI | 1801242995 |
|---|---|
| Doing Business As | EDELWEISS DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | JAEBUM LEE Owner 972-315-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 29604) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |