| NPI | 1598941775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE LEO-NARD ANDREWS Owner 817-477-0994 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18167) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |