| NPI | 1235486275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN HALL NYLANDER Managing Member 972-359-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 27875) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |