| NPI | 1992586234 |
|---|---|
| Doing Business As | BELLAIRE DENTAL SUITE |
| Entity Type | Organization |
| Authorized Contact | KRISTINA RIVERS Owner 817-925-0458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |