| NPI | 1528189925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN HILL Rcm, Director 972-930-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO 6097) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2022-09-19 |