| NPI | 1508645326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA DENISE GARRETT-SMITH Practice Administrator 817-579-7297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-09-22 |