| NPI | 1093126039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA GURROLA D.D.S./Owner 972-512-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |