| NPI | 1326445180 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | AARON SALINAS Sole Member 972-832-7825  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 26554)  | 
| Enumeration Date | 2014-11-21 | 
| Last Update Date | 2014-11-21 |