NPI | 1831316512 |
---|---|
Doing Business As | SOUTHWEST DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | FRED E THOMPSON Partner 972-686-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 16344) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 12339) |
122300000X Dentist (Licence: TX 9159) | |
Enumeration Date | 2007-04-20 |
Last Update Date | 2020-08-22 |