| NPI | 1497124366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL HEATH WRIGHT Dentist 817-599-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 21772) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |