| NPI | 1689092835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN HILL Director, Rcm 972-930-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 6097) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2022-08-30 |