NPI | 1285698191 |
---|---|
Entity Type | Organization |
Authorized Contact | LYN L BLANC-CARPENTER Business Manager 972-717-0077 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 14777) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2020-08-22 |