| NPI | 1437507761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN S JAMESEN Owner 214-392-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 23499) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |