| NPI | 1518273440 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | W. KEITH THORNTON President/Owner 214-987-4827 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: TX 9005) | 
| Enumeration Date | 2010-08-30 | 
| Last Update Date | 2022-12-05 |