| NPI | 1356544803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S FRIES Executive Vice President, CFO 214-456-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 0143) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2024-02-20 |