| NPI | 1437314101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA LOUISE FOSS President 972-686-6477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 18224) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |