| NPI | 1841837598 |
|---|---|
| Former Legal Business Name | HERITAGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | HUMAM AL NAJJAR Owner 210-824-3531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |