| NPI | 1679469217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RALPH PHILLIPS Physician 214-363-2475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2025-06-17 |
| Last Update Date | 2025-06-17 |