| NPI | 1831913037 |
|---|---|
| Doing Business As | LEWISVILLE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LISA TRAVIS Director Of Finance 704-997-8878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |