| NPI | 1467571729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL L KANEIRA Owner 214-513-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22168) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 20062) |
| 1223G0001X Dentist, General Practice (Licence: TX 22317) | |
| 1223G0001X Dentist, General Practice (Licence: TX 22427) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2012-03-09 |