| NPI | 1083780456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY CLIFFTON ALEXANDER Chairman 214-528-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 6473) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 17173) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |