| NPI | 1174062855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN A KASPER Owner/Dentist 972-446-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX D16150) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX D16150) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |