| NPI | 1215209929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAED AJLOUNI President 817-251-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21791) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |