NPI | 1679020325 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA TOMME Financial COO Rdinator 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 |