| NPI | 1609472976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA PILAR GONZALES Pediatric Dentist, Corporate Owner 972-824-5850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2022-04-19 |