| NPI | 1063621639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONELLO PATRICK GRISANTI II Owner 972-772-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21801) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |