| NPI | 1427222017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABEL DE ROSAS BRITAIN Dentist 817-332-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 19221) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |