NPI | 1972934552 |
---|---|
Doing Business As | WALNUT FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | SAOSAT STAFFORD Owner 972-272-3292 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2013-12-06 |
Last Update Date | 2013-12-06 |