| NPI | 1184946931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEJI V FASHEMO Doctor 972-566-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-03-11 |