| NPI | 1205117736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY CAFFEY-EARLE President 972-874-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: TX 19780) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |