| NPI | 1932871100 |
|---|---|
| Former Legal Business Name | PASSIONATE DENTAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | PATRICK M RALPH Owner 409-224-8357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2021-10-05 |