| NPI | 1881105419 |
|---|---|
| Doing Business As | MY HOMETOWN DENTIST AT LEON SPRINGS |
| Entity Type | Organization |
| Authorized Contact | PAUL CHRISTOPHER BAYS President/Owner 808-640-8470 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: TX 23202) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2022-04-29 |