| NPI | 1528344173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORI D HARDAWAY Dentist 817-466-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 23673) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |