| NPI | 1568953073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCOS F VILLARREAL Dentist/Owner 972-475-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 29952) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |