| NPI | 1871042457 |
|---|---|
| Doing Business As | DENTAL HOUSE |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS LEE President/Secretary 505-508-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2016-09-24 |
| Last Update Date | 2021-06-02 |