| NPI | 1275866972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GERARD BERCIER President 972-644-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TX 17177) |
| Enumeration Date | 2009-09-12 |
| Last Update Date | 2009-09-12 |