| NPI | 1609264670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOTTFRED P OLSEN President 214-616-7161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 12609) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |