| NPI | 1407022569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY HARPER Manager 972-258-6462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21451) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |