| NPI | 1124364450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY VINCENT JONES Owner 214-824-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX Tx 14650) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |