| NPI | 1437357894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS P SINN Owner Of Business 817-225-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: TX 9255) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2014-09-04 |