| NPI | 1316759350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNIOR TOBIAS Dentist 214-909-1769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-05-28 |