| NPI | 1316360035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DILLARD Manager 214-636-0497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24528) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |