| NPI | 1922119841 |
|---|---|
| Doing Business As | DENTISTS AT MEMORIAL PARK |
| Entity Type | Organization |
| Authorized Contact | CATALINA CRUZ JOHNSON President 719-861-8323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22469) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 21430) |
| 1223G0001X Dentist, General Practice (Licence: TX 21437) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-17 |