| NPI | 1154728053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE BAILEY President 972-462-7892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 26492) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |