| NPI | 1356990519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DOUGLASS BEABER President 972-722-4376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2020-02-05 |