| NPI | 1902409170 |
|---|---|
| Doing Business As | WALNUT RANCH DENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | JOSEPH S TREANOR Dentist/ Owner 580-226-1244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2021-01-06 |