| NPI | 1154656171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL C AZINGE President 972-377-8177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 20627) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2016-12-19 |