| NPI | 1528200151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA SHERRIE NOBLES President 817-734-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22475) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-03-27 |