| NPI | 1558514588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLE RAE HILL Business Manager 972-644-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 10599) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |