| NPI | 1821672486 |
|---|---|
| Former Legal Business Name | PALUXY DENTAL GROUP, PC |
| Entity Type | Organization |
| Authorized Contact | JOSH DE GRAFFENRIED Manager 903-593-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-05-10 |