| NPI | 1477946333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RUTLEDGE Owner 214-436-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 22733) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-08-06 |