| NPI | 1902472848 |
|---|---|
| Other Name | LASRY DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SAMUEL LASRY Dentist 424-362-6280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-01 |