| 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 |