| NPI | 1063609253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKSON OSAKWE Owner 972-327-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 20474) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2008-01-18 |