| NPI | 1366614182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY B HENEGAR Owner/President 972-254-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18083) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |