| NPI | 1134652720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE JORDAN WALKINGTON Owner 214-872-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 27907) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |