| NPI | 1902584873 |
|---|---|
| Doing Business As | SCUBA DENTAL |
| Entity Type | Organization |
| Authorized Contact | HODA J Manager 832-888-5244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-14 |