| NPI | 1629470380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JACOB RIEHS Owner 214-244-4159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 20806) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |