| NPI | 1427057678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN L. MINTON Owner 972-818-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20179432) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-08-22 |