| NPI | 1073806998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORA A MARSAW Periodontist 972-270-9647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX 015805) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-05-25 |