| NPI | 1467891127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGIL O VACAREAN Owner/Dentist 972-335-6042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 26255) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: TX 24346) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |