NPI | 1982057386 |
---|---|
Doing Business As | INWOOD DENTAL |
Entity Type | Organization |
Authorized Contact | GIVEN KACHEPA Dentist 817-564-2307 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Enumeration Date | 2016-07-20 |
Last Update Date | 2016-07-20 |