| NPI | 1386899789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN C WITTE Office Manager 817-784-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 13292) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2008-11-26 |