| NPI | 1609911478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA RYAN COOPER Owner 214-559-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21841) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-01-07 |