| NPI | 1265768113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD CLEO MCCONNELL President 972-234-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 7515) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |