NPI | 1942668769 |
---|---|
Doing Business As | D. BROCK LYNN, DDS, MS |
Entity Type | Organization |
Authorized Contact | D. BROCK LYNN Owner 972-934-1477 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 12590) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2016-02-08 |
Last Update Date | 2016-09-28 |