NPI | 1366628539 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN R. CRAIG President 214-528-4196 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 16176) |
Enumeration Date | 2008-01-17 |
Last Update Date | 2008-01-17 |