| NPI | 1043354608 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | HARRY C KIZER President 214-328-2751 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 6701) | 
| Enumeration Date | 2007-02-16 | 
| Last Update Date | 2020-08-22 |