| NPI | 1134562010 |
|---|---|
| Doing Business As | HIGHLAND PARK ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | CAROL RIOJAS Credentialing Coordinator 817-529-8151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 23811) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2013-04-10 |