| NPI | 1669734018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L. MILLER Owner 972-412-5857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 15066) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |