| NPI | 1023617966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT YAMOAH Pediatric Dentist 214-455-4487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2022-11-02 |