| NPI | 1184959595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY C. DO President 817-706-7410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 22044) |
| Enumeration Date | 2009-10-03 |
| Last Update Date | 2009-10-03 |