| NPI | 1356595201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L SMITH Front Office 214-528-7870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |