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 |