| NPI | 1215040738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN ODDSON Practice Manager 214-361-6669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 10970) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |