NPI | 1932766235 |
---|---|
Doing Business As | SHENANDOAH MINT DENTISTRY |
Entity Type | Organization |
Authorized Contact | FIELD HARRISON CEO/Owner 214-821-6468 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-05-22 |
Last Update Date | 2019-05-22 |