| NPI | 1144419821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE M KOURI Owner 817-732-2821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 7179) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2012-10-02 |