| NPI | 1508895418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW S. LAZARIS Dentist/Co Owener 972-381-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18588) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 18873) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |