| NPI | 1922522218 |
|---|---|
| Doing Business As | ADDISON MINT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER SGRILLO COO 817-939-0853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2018-09-24 |