| NPI | 1134877830 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | VERNESHA LOCKHART Pediatric Dentist/Owner 972-979-8034  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry | 
| Enumeration Date | 2022-03-13 | 
| Last Update Date | 2022-03-13 |