| NPI | 1477785418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER D WILSON Partner 214-363-4021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 16233) |
| Enumeration Date | 2009-08-09 |
| Last Update Date | 2009-08-09 |