Organization · Type 2 NPI

The Dentist Off Main, PLLC

General Practice Dentistry · Grapevine, TX

NPI number 1396184693 Active

About NPI 1396184693

The Dentist Off Main, PLLC's National Provider Identifier is 1396184693, issued on Jun 19, 2013. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Grapevine, TX. The record was last updated on Jun 19, 2013.