NPI | 1851652291 |
---|---|
Doing Business As | AZALEA DENTAL CARE |
Entity Type | Organization |
Authorized Contact | MATTHEW HANS GILLESPIE President 903-593-6585 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25547) |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2012-06-01 |
Last Update Date | 2014-02-18 |