| NPI | 1174799498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES S PETERSON President 972-462-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20530) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |