| NPI | 1225484496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE DOUGLAS JENNINGS Dentist/Owner 817-847-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 26374) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2020-04-08 |