| NPI | 1821448135 |
|---|---|
| Doing Business As | DESOTO MINT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | FIELD HARRISON CEO 214-821-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2019-01-29 |