| NPI | 1083486591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN P SCHAACK Owner/Pediatric Dentist 214-517-2125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2023-10-27 |