| NPI | 1851954507 |
|---|---|
| Doing Business As | CHISHOLM TRAIL DENTAL |
| Entity Type | Organization |
| Authorized Contact | RYAN KNIGHT Member 817-953-7700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |