| NPI | 1922694314 |
|---|---|
| Doing Business As | RESTORE DENTAL |
| Former Legal Business Name | RESTORE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JASON PATTON Executive Manager 512-800-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-12-19 |
| Last Update Date | 2020-12-19 |