| NPI | 1659560761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALEH ISAM TAIYM President 972-396-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 21706) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |