| NPI | 1487885752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOND ANDREWS Practice Administrator 214-383-1380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: TX 18782) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |