| NPI | 1073785069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MIKE DOSSETT President 972-960-0082 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 9584) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |