| NPI | 1891127155 |
|---|---|
| Doing Business As | HIGHLAND VILLAGE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RYAN CLARK THOMAS Owner 603-203-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 28604) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |