NPI | 1457362857 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA S SCAGGS President 972-394-9224 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 20432) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2020-08-22 |