| NPI | 1861098139 |
|---|---|
| Doing Business As | SKYE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ALAN KEBODEAUX Owner Dentist 940-276-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2021-02-01 |