| NPI | 1487058814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DIANE HEDRICK Dentist 972-628-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25552) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |