| NPI | 1245349307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DON DICKEY Co Owner 972-747-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 20738) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: TX 20503) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |