| NPI | 1316069958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZZAH MARY PEREZ Dentist 817-922-8552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 19738) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-05-15 |