| NPI | 1861668055 |
|---|---|
| Doing Business As | LIFETIME DENTAL |
| Entity Type | Organization |
| Authorized Contact | J TIM RAINEY President 830-249-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-07-24 |