| NPI | 1033351242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE WINSTON Office Manager 972-985-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 14628) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |