| NPI | 1619163029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA A CRAWFORD President 214-361-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 16695) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2023-03-07 |