| NPI | 1134158330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD A SHINEDLING Principal Surgeon, President 972-527-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX 18760) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2009-05-04 |