| NPI | 1568733194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY JOHN SCOTT Dentist 972-540-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 17968) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |