| NPI | 1407040348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK RAYMOND BRADY President 972-359-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2008-06-05 |