| NPI | 1255610895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PINTIP CHARUNMETHEE Manager 972-867-7883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 20795) |
| Enumeration Date | 2011-08-14 |
| Last Update Date | 2011-08-14 |