| NPI | 1346728896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE YIP Dentist 972-864-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-10-23 |