| NPI | 1619215795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEDDY PAUL DYER Dentist/Owner 817-281-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX TX28064) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |