| NPI | 1467573410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY BAY DANIER General Partner 972-475-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 12557) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 16705) |
| 1223G0001X Dentist, General Practice (Licence: TX 17226) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |