| NPI | 1598185928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA DARNELL Office Manager 817-437-2302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29564) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |