| NPI | 1578710398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN M ALTIERI President/ Dentist 817-294-5513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 16950) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2015-11-18 |