NPI | 1982311817 |
---|---|
Doing Business As | ACTIVE DENTAL FRISCO |
Entity Type | Organization |
Authorized Contact | KISHAN PATEL Owner 817-456-9342 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-10-31 |
Last Update Date | 2022-10-31 |