| NPI | 1588969893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA R MOLAYEM Owner 972-285-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25156) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 24716) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |