| NPI | 1598068249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE F. CARMICHAEL Owner 214-705-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 22973) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2011-03-10 |