| NPI | 1275777872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE P ONEACRE President 972-539-1491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 10830) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |