| NPI | 1568834711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO DAVIS General Dentist 972-200-1589 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25591) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2016-05-05 |