| NPI | 1013230705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL COLANGELO President 817-689-4284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 23341) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |