| NPI | 1205512704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER W MCGARRY Director 214-882-6874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 126800000X Dental Assistant |
| 124Q00000X Dental Hygienist | |
| 122300000X Dentist | |
| 1223E0200X Dentist, Endodontics | |
| 1223G0001X Dentist, General Practice | |
| 1223P0300X Dentist, Periodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 126900000X Dental Laboratory Technician | |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-06-27 |