| NPI | 1417032244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EVERETT BALLARD CIO 972-755-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 8054) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |