| NPI | 1073868709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN-MICHAEL STEWART Owner 214-269-1244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 19330) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |