| NPI | 1366769846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENA NEVILLE Vice President 214-821-0907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18799) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 16984) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |