NPI | 1083948954 |
---|---|
Entity Type | Organization |
Authorized Contact | ESMERALDA MORALES Office Manager 817-577-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 20467) |
Enumeration Date | 2009-09-25 |
Last Update Date | 2009-09-25 |