| NPI | 1336329986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALAN CRAIG President 972-542-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TX 16334) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2007-11-17 |