NPI | 1174192900 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIANA GARCIA Credentialing Specialist 972-932-3918 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2021-06-24 |
Last Update Date | 2021-07-07 |