| NPI | 1144430885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL GONZALEZ President 972-717-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18837) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |