NPI | 1972176642 |
---|---|
Doing Business As | BRAZOS VALLEY ENDODONTIC ASSOCIATES |
Entity Type | Organization |
Authorized Contact | SALLY ROSE HAYS Managing Member 979-776-6152 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-07-21 |
Last Update Date | 2021-07-21 |