| NPI | 1144762030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAROSLAW WROBEL Dentist 817-778-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29745) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |