| NPI | 1851981971 |
|---|---|
| Doing Business As | 04 DENTAL |
| Entity Type | Organization |
| Authorized Contact | MEREDITH RAE MOSIER Owner 281-974-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2021-01-22 |