| NPI | 1821546888 |
|---|---|
| Doing Business As | LEE TREVINO DENTAL |
| Entity Type | Organization |
| Authorized Contact | RYAN AUGUST CHENAUSKY General Dentist 915-593-8815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 32243) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |