| NPI | 1255506010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA GUZMAN MALDONADO Office Manager 972-881-0715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 16968) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |