| NPI | 1073520193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MCQUADE Owner/Managing Partner 972-394-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: TX 16726) |
| Additional Taxonomies | 1223P0300X Dentist Periodontics (Licence: TX 17365) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |