| NPI | 1558563049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD MACKENZIE CEO 972-867-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 13363) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |