| NPI | 1427886894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANYELLE MEAGAN RASMUSSEN Office Manager 972-787-7299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |