NPI | 1467292219 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLOTTE DASCH Direc Of Cred And Pr 214-453-2565 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
Enumeration Date | 2024-05-29 |
Last Update Date | 2024-05-29 |