| NPI | 1831524727 |
|---|---|
| Doing Business As | THE GRAPEVINE DENTIST |
| Entity Type | Organization |
| Authorized Contact | DANIEL S CHOI Owner 817-726-5387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |