| NPI | 1356579056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAZMIN NARVAEZ Administrative Assistant 972-982-8490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 22958) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2009-07-01 |