| 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 |