| NPI | 1447883863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MARSHALL Pediatric Dentist/Owner 972-544-7524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |