| NPI | 1679020325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA TOMME Financial Coordinator 972-270-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 9269) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: TX 8115) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |