NPI | 1053573220 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIGITTE E. ROBINSON President 972-641-2994 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: TX 14240) |
Enumeration Date | 2008-06-30 |
Last Update Date | 2008-06-30 |