| NPI | 1821549403 |
|---|---|
| Doing Business As | NEW AVENUE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL FOOSHEE President 972-905-1359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 29312) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |