| NPI | 1104094077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BORKOWSKI Orthodontist 972-242-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 18933) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |