| NPI | 1487199667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUNIA KOROUS Owner/Dentist 972-987-4899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 28879) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |