| NPI | 1942805015 |
|---|---|
| Doing Business As | LIFETIME DENTAL |
| Entity Type | Organization |
| Authorized Contact | KRYSTLE EGO UDEZUE President 281-213-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2024-10-09 |