| NPI | 1629280615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMOS BEN ROSS President 817-292-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21489) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 10637) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2014-03-06 |