| NPI | 1821475831 |
|---|---|
| Former Legal Business Name | POLISHED FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CLAYTON K COOK Owner/Dentist 817-294-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 29154) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2021-09-28 |