| NPI | 1821523473 |
|---|---|
| Doing Business As | LUNA DENTAL |
| Entity Type | Organization |
| Authorized Contact | NASIM N RAVARI Manager 915-858-5862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 26272) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |