| NPI | 1689115529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA KY President 214-396-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25789) |
| Enumeration Date | 2017-03-11 |
| Last Update Date | 2017-03-11 |