NPI | 1952891798 |
---|---|
Doing Business As | TWIN LAKES DENTAL CARE |
Entity Type | Organization |
Authorized Contact | ROBERT STEPHEN BOH President 270-839-6608 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TN 10219) |
Enumeration Date | 2018-05-17 |
Last Update Date | 2018-05-17 |