| NPI | 1235389172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA C OGUANOBI Owner President 972-429-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21529) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |