| NPI | 1427494590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JOSEPH Owner 972-252-9557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 18939) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2022-11-09 |