| NPI | 1669759726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED JADID Owner/Dentist 214-697-4173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 24791) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |