| NPI | 1396196481 |
|---|---|
| Doing Business As | TYSON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATT A TYSON President 214-675-9116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 24696) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |