| NPI | 1215155098 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JAMES W MOORE Doctor 972-271-1574 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 7308) | 
| Enumeration Date | 2007-04-24 | 
| Last Update Date | 2020-08-22 |