| NPI | 1679846083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIELD G. HARRISON Owner/Provider 972-573-6100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 23874) |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |