| NPI | 1073741070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYLEE N. DAVIS Office Manager 214-618-5450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 22723) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |