| NPI | 1861976490 |
|---|---|
| Doing Business As | THE PARKWAY DENTIST |
| Entity Type | Organization |
| Authorized Contact | DESIREE MCAULEY Training Director 817-909-9219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |