| NPI | 1619137221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENEHIZENA N EHONDOR Dentist 469-272-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 22405) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |