| NPI | 1982341830 |
|---|---|
| Doing Business As | DISTINGUISHED DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHERI MCINTOSH President 817-337-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-05-12 |