| NPI | 1346620853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY VECCHIONE General Counsel 214-692-7499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 24175) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2021-02-02 |