| NPI | 1467975797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA SICILIA SCHMIDL Owner 214-507-2480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 24840) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |