| NPI | 1346671245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WAKEFIELD Director Of Aegd Clinic 214-828-8213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 29122) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |