| NPI | 1245462753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ROZAS Owner / Dentist 972-393-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 18278) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |