NPI | 1699065821 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLIE CARMICHAEL Owner 214-705-7272 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 22973) |
Enumeration Date | 2011-04-08 |
Last Update Date | 2011-04-08 |